Ms Nikki Haynesworth, LPC in Scottsdale, AZ - Medicare Mental Health Counselor Provider

Ms Nikki Haynesworth, LPC is a medicare enrolled "Counselor - Professional" provider in Scottsdale, Arizona. She graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Brightside Medical Pa and her current practice location is 7373 N Scottsdale Rd Ste A199, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 524-0990.

Ms Nikki Haynesworth is licensed to practice in Arizona (license number LPC-21169) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750864500.

Contact Information

	Ms Nikki Haynesworth, LPC
	7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253-3593
	(480) 524-0990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Nikki Haynesworth
Gender	Female
Speciality	Mental Health Counselor
Experience	12 Years
Location	7373 N Scottsdale Rd Ste A199, Scottsdale, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Nikki Haynesworth graduated from medical school in 2014

NPI Data:

NPI Number: 1750864500
Provider Enumeration Date: 09/07/2018
Last Update Date: 06/25/2026

Medicare PECOS Information:

PECOS PAC ID: 0547604910
Enrollment ID: I20240214001545

Medical Identifiers

Medical identifiers for Ms Nikki Haynesworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750864500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-21169 (Arizona)	Primary
101YM0800X	Counselor - Mental Health	007895 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brightside Medical Pa	3678948809	92

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Nikki Haynesworth allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230425001219

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nikki Haynesworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Nikki Haynesworth, LPC 12621 N Tatum Blvd # 1629, Phoenix, AZ 85032-7710 Ph: () -	Ms Nikki Haynesworth, LPC 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253-3593 Ph: (480) 524-0990

Reviews and Comments

Counselor in Scottsdale, AZ

Mrs. Jill Ellis Mcmahon, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9375 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-214-9570
Sanja Sobo, MC., LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 8170 N 86th Pl Ste 206, Scottsdale, AZ 85258 Phone: 424-272-6528
Bethany Michelle Bosier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10245 E Via Linda Ste 225, Scottsdale, AZ 85258 Phone: 480-687-3435 Fax: 480-687-7061
Deborah Walsh, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7137 East Ranch Vista Dr., Ste. B-11, Scottsdale, AZ 85251 Phone: 480-771-9892
Ms. Mary Doyle, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8300 N Hayden Rd, Suite 104, Scottsdale, AZ 85258 Phone: 602-334-7984
Karen A Zazzera, MC, LPC, BRI-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 23150 N Pima Rd Ste 2b, Scottsdale, AZ 85255 Phone: 602-696-5430 Fax: 480-659-7230
Cheryl Soozi Bolte, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 N 85th Way, Scottsdale, AZ 85258 Phone: 480-236-6682 Fax: 480-619-4150

Ms Nikki Haynesworth, LPC - Medicare Counselor in Scottsdale, AZ